Pharmacy Technician – Prior Authorization Specialist

📋 Description

• Process medication prior authorization requests for all clinic locations in accordance with payer
• Review patient charts and clinical documentation to ensure completeness prior to submission.
• Collaborate with providers, medical assistants, nurses, and clinic staff to obtain supporting
• Submit prior authorization requests through payer portals, electronic prior authorization systems
• Monitor authorization status and follow up with insurance companies to expedite approvals.
• Communicate authorization determinations, denials, and appeals requirements to providers and clinic

🎯 Requirements

• High school diploma or equivalent required.
• Active Pharmacy Technician registration, license, or certification as required by state regulations.
• Minimum of one (1) year of experience as a Pharmacy Technician, healthcare authorization
• Experience processing medication prior authorizations and working with commercial, Medicare, and
• Knowledge of pharmacy terminology, medication classifications, and insurance benefit structures.
• Experience utilizing electronic health records (EHR) and payer authorization portals.